Individual
JESSICA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7410 CRABGRASS RD, SAINT CLOUD, FL 34773-9220
(321) 505-4265
Mailing address
7410 CRABGRASS RD, SAINT CLOUD, FL 34773-9220
(321) 505-4265
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
5654
FL
225X00000X
Occupational Therapist
Primary
19288
FL
Other
Enumeration date
03/27/2008
Last updated
06/16/2024
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